Run, despite and because life is complicated.

pain management during an ultramarathon

We’ve all been to the darkest part of the pain cave in an ultra. The question is what did you do when you reached it? You don’t have to tell anyone if you crumbled into a pile of rubble or if you curled into a ball and closed your eyes. Honestly, there is no shame in having taken one of those two approaches, at least the first time you enter the pain cave. After that, you really have to get your head in the game and come up with strategies to embrace the pain and use it to push you through to the other side.

When most people (non ultrarunners) think about the tough part of running, they of pushing your speed up a notch to stay fractions of a second ahead of the runner on your heels. This usually results in vomiting shortly after crossing the finish line or other unpleasantness. In the ultrarunning world, the pain cave is much darker. It’s continuing to move forward as fast as you can while combating hours of nausea, dehydration, blisters, sore muscles, exposure to the elements and possibly a rolled ankle or scrapped up hands and knees. As if that were not enough, you’re exhausted.

How do you prepare yourself for entering the pain cave, walking all the way through it, and reaching the other side? You build your mental endurance. You become familiar with the pain cave by training inside of it. Schedule workouts that are hard and run with people who challenge you to push past what you think are your limits. Here are some runs that you can use to get you into the pain cave:

Back to back long runs. Hill repeats. Carbohydrate depleting runs. Heat runs or cold runs. Intervals.

When you have a few of these under your belt, you can draw on these during races by telling yourself you’ve done hard things before.

Another strategy is to stay mindful of what is actually going on in your body. Some people check out of their body when things get hard. They go to their “special place.” Other runners become more focused on what is going on inside. They observe what is happening and without jumping on the pitty wagon (where we tell ourselves it hurts, it’s hard, or I can’t). These runners simply acknowledge that there is a pain/ache/unpleasant sensation and they watch it.

The damage comes when your thoughts start stacking negative and self defeating thoughts on top of the pain/ache/unpleasantness. Keep things simple in the pain cave. Recognize there is an issue and observe it. This takes practice. That’s why we train hard.